DR. MIKELSON MOMPREMIER (M.D.,F.A.C.S.) – Ophthalmology Physician, NPI 1578706396
Ophthalmology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,544 OPHTHALMOLOGY in TX
Loading map...
Provider Addresses for DR. MIKELSON MOMPREMIER (M.D.,F.A.C.S.)
1510 N HAMPTON RD STE 290
DESOTO, TX 751158300
Phone: (469) 687-5664
Fax: (469) 317-3344
Type: Mailing
1510, North Hampton Road, De Soto, DeSoto, Dallas County, Texas, 75115, United States
SUITE 290
DESOTO, TX 751158300
Phone: (469) 687-5664
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
CMS reports 15 Open Payments records for all available years, with a total value of $470.
Total Amount is formed as General ($470) + Research ($0) + Ownership ($0) = $470.
Last reported payment date: 2024-11-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($153).
Total Amount
$470
General + Research + Ownership
Payments
15
Total payment records
General Amount
$470
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $153 |
| ABBVIE INC. | $140 |
| Amgen Inc. | $61 |
| Genentech USA, Inc. | $31 |
| Horizon Therapeutics plc | $23 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-07-02
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20130828000243 | I | Ophthalmology | TX | TBD |
| I20230925001447 | I | Ophthalmology | IL | TBD |
| I20240702003303 | I | Ophthalmology | MT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 92134 | Imaging of retina | 169 | 120 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 150 | 113 | $0 |
| 67028 | Injection of drug into eye | 75 | 48 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 43 | 43 | $0 |
Insurance plans in this area (ZIP 75115)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| G A S T R O E N T E R O L O G Y | IL | |
| Nurse Practitioner | IL | |
| Clinical Psychologist | IL | |
| - | FL | |
| Nurse Practitioner | IL | |
| Gastroenterology, Internal Medicine | WI | |
| P O D I A T R Y | IL | |
| Hospitalist, Family Practice | TX | |
| Diagnostic Radiology | NY | |
| - | IL |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.